Individual provider Active NPI

Robert Paul Cafe

  • Family Nurse Practitioner
  • Gurnee, IL
National Provider Identifier
1437651072
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209017204 Issued in IL
Practice address
200 S Greenleaf St Ste 100
Gurnee, IL 60031-3398
Phone
(847) 596-4521
NPI assigned
Feb 28, 2018
Last updated
Feb 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209017204 IL Primary
Registered Nurse 163W00000X 041370960 IL

Addresses

Primary practice location

200 S Greenleaf St Ste 100
Gurnee, IL 60031-3398

Mailing address

1008 Dover CT
Gurnee, IL 60031-4028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180416000555 IL Practitioner - Nurse Practitioner 8022371590 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041370960ILMDRegistered Nurse
209017204ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Health Partners LLC CurrentSince Oct 17, 2025 Accepting new patients
App of Illinois Ed PLLC CurrentSince Sep 1, 2019 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince May 13, 2024 Accepting new patients
Waukegan Clinic Corp CurrentSince May 13, 2024 Accepting new patients

Locations

200 S Greenleaf St
Ste A
Gurnee, IL 60031
Phone (847) 244-5660

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

1050 Red Oak Ln
Lindenhurst, IL 60046
Phone (847) 356-4700

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1437651072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 DOVER CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S GREENLEAF ST STE 100",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313398",
            "telephone_number": "847-596-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFE",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209017204",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041370960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.